Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. General Survey, Measurement, Vital Signs Health.

Slides:



Advertisements
Similar presentations
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Fundamentals of Nursing: Human Health and Function Chapter 17: Vital Signs.
Advertisements

Slide 1 Copyright © Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Textbook For Nursing.
What do they assess? What can they tell you? Why are they important? Are they objective or subjective? Think about how they can help you ANTICIPATE a.
Vital Signs Chapter 15. Vital Signs Various factors that provide information about the basic body conditions of the patient 4 Main Vital Signs 1.Temperature.
Vital Signs Review. What is Blood Pressure? Blood pressure measures the force of blood pulsing outwards on your arterial walls. NORMAL ADULT BP is systolic.
Vital Signs Chapter 27 Copyright © 2009, 2006 by Saunders, an imprint of Elsevier Inc. All rights reserved. 1.
Copyright 2003, Elsevier Science (USA). All rights reserved. Chapter 27 Vital Signs Copyright 2003, Elsevier Science (USA). All rights reserved. No part.
Copyright 2002, Delmar, A division of Thomson Learning Chapter 9 General Survey and Vital Signs.
Chapter 15 Vital Signs.
Mosby items and derived items © 2005 by Mosby, Inc. Chapter 31 Vital Signs.
Vital Signs/Blood pressure. Blood Pressure Arterial blood pressure is a measure of pressure exerted by the blood as flows through the arteries. (measured.
Chapter 26: Vital Sign Assessment
 Temperature (T)  Pulse (P)  Respiration (R)  Blood pressure (BP)  Pain (often called the fifth vital sign)  Oxygen Saturation.
Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. General Survey, Measurement, Vital Signs Chapter.
Vital Signs Assessment
Arterial blood pressure is a measure of the pressure exerted by the blood as it flows through the arteries. The systolic pressure is the pressure of the.
Healthcare Science Vital Signs
Copyright 2002, Delmar, A division of Thomson Learning Chapter 9 General Survey and Vital Signs.
Cardinal signs, reflects body’s physiological status
1Copyright © 2007 by Saunders, an imprint of Elsevier Inc. All rights reserved. Vital signs include: Temperature Temperature Pulse Pulse Respiration Respiration.
Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Textbook for Nursing Assistants Chapter 16: Vital Signs, Height, and Weight.
Unit 14 Vital Signs.
Chapter 17: Vital Signs.
Mosby items and derived items © 2009, 2005 by Mosby, Inc., an affiliate of Elsevier Inc. Chapter 32 Vital Signs NRS 102.
VITAL SIGNS. Vital Signs Temperature Breathing +Pulse Oximeter Pulse Blood pressure Pain (5 th VS)
Vital signs are vital Sample lecture notes: Module II – Objectives 1-7.
 when is temperature usually lower (morning or night)?
ASSESSMENT OF VITAL SIGNS Marie Bártová, BSN Institute of Nursing Theory and Practice 1 st Faculty of Medicine, Charles University.
Mrs. Brodermann.  Weight  Three types of scales Balance beam scales Dial scales Digital scales  Who gets weighed Pregnant patients Infants Children.
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Chapter 26 Vital Signs.
Signs we are ALIVE Vital Signs.
Vital Signs Chapter 12 Bethann Davis MSN,NP PNU Fall 2015.
Vital Signs.
THE GENERAL SURVEY Follows the health history This is subjective not objective Study of the whole person.
Copyright 2003 by Mosby, Inc. All rights reserved. Vital Signs.
Vital Signs.
Chapter 24 Vital Signs.
Copyright © 2007 by Thomson Delmar Learning. ALL RIGHTS RESERVED.1.
VITAL SIGNS Temperature, Pulse, Respirations and Blood Pressure (TPR, BP)
Chapter 6 Vital Signs Assessment. Vital Signs Used to assess the conditions of the various body systems, particularly the respiratory and circulatory.
Vital Signs Temperature Pulse Respirations Blood Pressure
Health Assessment of skin and mental status
Unit 7 Health Care Skills. Chapter 20 Physical Assessment.
Figure this out… 1.The temperature in the classroom is 86  F. What is that in Celcius? 2.A pt drank 6 oz of juice, 3 cups of water and a half pint of.
FIRST AID AND EMERGENCY CARE LECTURE 4 Vital Signs.
Medical Careers Eden Area ROP
+. Copyright © 2015 by Mosby, an imprint of Elsevier Inc. Chapter 4 Vital Signs and Pain Assessment.
Copyright © 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole.
TEMPERATURE, PULSE, RESPIRATIONS
Vital Signs Assessment
Temperature, Pulse, Respirations and Blood Pressure (TPR, BP)
Chapter 5—Vital Signs and General Survey
Vital Signs.
Chapter 5—Vital Signs and General Survey
VITAL SIGNS:.
Vital Signs Are measurements of the body's most basic functions:
Principles of Health Science
Other Important Measurements
Vital Signs and Measurements
General Survey, Vital Signs, and Pain
Chapter 32 Vital Signs NRS 102
Health Science and Medical Therapeutics
Vital Signs Assessment
Vital Signs and Measurements
Vital Signs Fundamentals Unit 5.
Copyright 2003 by Mosby, Inc. All rights reserved.
VITAL SIGNS:.
What are the Four Vital Signs?
Health Care Science Technology
Presentation transcript:

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. General Survey, Measurement, Vital Signs Health Assessment Across the Lifespan NRS 102

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 9: General Survey, Measurement, Vital Signs Slide 9-2 General Survey  Physical appearance  Age  Sex  Level of consciousness  Skin color  Facial features  Body structure  Stature  Nutrition  Symmetry  Posture  Position  Body build, contour

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 9: General Survey, Measurement, Vital Signs Slide 9-3 General Survey (cont.)  Mobility  Gait  Range of motion  Behavior  Facial expression  Mood and affect  Speech  Dress  Personal hygiene

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 9: General Survey, Measurement, Vital Signs Slide 9-4 Measurement  Weight  Balance scale  Recommended range for height  Height

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 9: General Survey, Measurement, Vital Signs Slide 9-5 Vital Signs  Temperature  Hypothalamus as thermostat mechanism  Influences on temperature Diurnal cycle Diurnal cycle Menstrual cycle Menstrual cycle Exercise Exercise Age Age  Routes of temperature measurement Oral Oral Electronic thermometer Electronic thermometer Axillary Axillary Rectal Rectal Tympanic membrane thermometer Tympanic membrane thermometer

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 9: General Survey, Measurement, Vital Signs Abnormal Body Temp Hypothermia  Heat loss during prolonged exposure to cold  Classified by core temp (mild-severe)  May be intentional (surgery)  Early signs- uncontrolled shivering, loss of memory, poor judgment  Later signs- Cyanosis, decreased VS, cardiac dysrhythmias, loss of consciousness  Frostbite- body exposure to subnormal temps

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 9: General Survey, Measurement, Vital Signs Abnormal Body Temp Hyperthermia  Elevated body temp related to body’s inability to promote heat loss or reduce heat production  Heatstroke- prolonged exposure to sun or high environmental temp. Heat depresses hypothalamus function  Heat Exhaustion- profuse diaphoresis result in fluid & electrolyte loss

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 9: General Survey, Measurement, Vital Signs

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 9: General Survey, Measurement, Vital Signs

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 9: General Survey, Measurement, Vital Signs Slide 9-10  Pulse  Stroke volume  Technique of measurement  Rate Normal rate for age group Normal rate for age group Bradycardia Bradycardia Tachycardia Tachycardia  Rhythm Sinus arrhythmia Sinus arrhythmia  Force  Elasticity Vital Signs

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 9: General Survey, Measurement, Vital Signs

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 9: General Survey, Measurement, Vital Signs

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 9: General Survey, Measurement, Vital Signs Slide 9-13  Respirations  Technique of measurement  Normal rate for age group  Ratio of pulse rate to respiratory rate should be approximately 4:1 Vital Signs

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 9: General Survey, Measurement, Vital Signs Assessing Respirations  Assessing rate- observe full inspiration & expiration  Assess for full minute  Normal adult 12 –20 breaths/minute  Varies with age, rate declines throughout life  Apnea Monitor

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 9: General Survey, Measurement, Vital Signs Normal & Abnormal Respirations  Eupnea- normal respirations  Bradypnea- abnormally slow < 12  Tachypnea- abnormally fast >20  Hyperpnea- labored, after exercise  Hyperventilation/Hypoventilation  Cheyne-Stokes  Kussmauls  Biot’s

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 9: General Survey, Measurement, Vital Signs Slide 9-16  Blood pressure  Systolic pressure  Diastolic pressure  Pulse pressure  Mean arterial pressure Vital Signs

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 9: General Survey, Measurement, Vital Signs Slide 9-17 Blood Pressure

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 9: General Survey, Measurement, Vital Signs Slide 9-18  Influences on blood pressure Age Age Race Race Weight Weight Emotions Emotions Sex Sex Diurnal rhythm Diurnal rhythm Exercise Exercise Stress Stress Vital Signs

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 9: General Survey, Measurement, Vital Signs Slide 9-19  Physiologic factors controlling blood pressure Cardiac output Cardiac output Peripheral vascular resistance Peripheral vascular resistance Volume of circulating blood Volume of circulating blood Viscosity Viscosity Elasticity of vessel walls Elasticity of vessel walls Vital Signs (cont.)

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 9: General Survey, Measurement, Vital Signs Slide 9-20 Factors Controlling Blood Pressure Illustration Pat Thomas, © 2006

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 9: General Survey, Measurement, Vital Signs Slide 9-21 Vital Signs  Blood pressure measurement  Sphygmomanometer  Cuff width and size  Blood pressure measurement in the arm Position of person Position of person Palpate brachial artery Palpate brachial artery Proper inflation and deflation technique Proper inflation and deflation technique Korotkoff’s sounds Korotkoff’s sounds  I, systolic pressure  IV, muffling of sounds  V, diastolic pressure

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 9: General Survey, Measurement, Vital Signs Slide 9-22 Measuring Blood Pressure

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 9: General Survey, Measurement, Vital Signs Slide 9-23 Vital Signs  Common errors in blood pressure measurement  Orthostatic (or postural) hypotension  Blood pressure measurement in the thigh Thigh pressure higher than in the arm Thigh pressure higher than in the arm Screen for coarctation of aorta Screen for coarctation of aorta

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 9: General Survey, Measurement, Vital Signs Assessment of Diffusion & Perfusion  Assessed by oxygen saturation of blood  Oxygen attaches to hemoglobin molecule in RBC  % of hemoglobin that is bound with oxygen in the arteries is the % of saturation of hemoglobin (SaO2)  Usually %  Affected by factors that interfere with ventilation, diffusion, & perfusion

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 9: General Survey, Measurement, Vital Signs Measurement of Arterial Oxygen Saturation  Pulse oximeter  Allows indirect measurement of oxygen saturation  SpO2 is a reliable estimate of SaO2  Measurement is affected if extremity is cold, edematous or if nail polish is present (interference with light transmission)

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 9: General Survey, Measurement, Vital Signs

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 9: General Survey, Measurement, Vital Signs Slide 9-27

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 9: General Survey, Measurement, Vital Signs Slide 9-28 Sample Charting

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 9: General Survey, Measurement, Vital Signs Slide 9-29 Significant elevation in blood pressure measurements from one day to the next could be attributed to A.A decrease in cuff size B.An increase in cuff size C.New onset of pain or anxiety D.A and C

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 9: General Survey, Measurement, Vital Signs Slide 9-30 Which patient would be most likely to present with a pulse rate that is lower than normal? A.A 70-year-old telephone salesman presenting with dehydration. B.A 20-year-old runner who had surgery 4 days ago for a fractured leg. C.A 67-year-old who presented with an exacerbation of his COPD